| NPI | 1649126939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTAL GREGORY FULTON Owner 252-645-9193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2026-03-09 |
| Last Update Date | 2026-07-17 |